CMS also released Medicare Severity Diagnosis-Related Group (MS-DRG) V39.1 The Centers for Disease Control and Prevention (CDC) released its April 1, 2022 diagnosis files on Dec. 23, 2021. The updated files include a Tabular Addendum, Index Addendum, Official Coding and Reporting Guidelines update, ICD-10-CM Order File, and List of Codes and Descriptions. The Tabular Addendum and Index Addendum include minor updates to the classification, in addition to the new diagnosis codes. The April 1 new diagnosis codes include: Z28.310 – Unvaccinated for COVID-19; Z28.311 – Partially vaccinated for COVID-19; and…
Read MoreICD 10 Coding tips for Prenatal Visits and Supervision of High Risk Pregnancy
In diagnosis coding, we have specific coding guidelines for each chapter. In ICD 10 codes, we have very specific codes and this specificity can be calculated from diagnosis codes for pregnancy chapter. In pregnancy complication codes, we have now specific ICD 10 codes for each trimester and weeks of gestation (Z3A category). Be careful with use of Z3A category codes for weeks of gestation. Z3A category codes should not be used with abortion codes as per the coding guidelines. The most common issues with ICD 10 codes is the selection…
Read More2022 E/M Shared/Split Services Rules
Definition of Split/shared services E/M services performed jointly by a physician and non-physician practitioner in a facility setting (outpatient department, inpatient, emergency department, skilled nursing facility) Prior to 2021, shared services were a Medicare concept For Medicare, payment differential for services billed by physicians and NPPs. In 2021, the AMA added the concept of shared services between a physician and qualified health care professional (QHP) (CMS uses the term non-physician practitioner (NPP)) Both QHP and NPP mean someone who has E/M in their scope of practice. Allows for E/M services…
Read MoreInpatient Coding Features and Characteristics
What is Inpatient? Inpatient refers to a patient who is formally admitted to a hospital upon the orders of the physician who then admits the patient for an extended stay. The inpatient coding system is used to report a patient’s diagnosis and services based on his extended stay. In Inpatient coding, same ICD 9/ICD10-CM codes are used for diagnosis coding. While ICD 10 PCS codes are used for reporting procedures. The Inpatient Prospective Payment System (IPPS) is the reimbursement methodology used by Medicare to provide reimbursement for hospital inpatient services.…
Read MoreKiller Tricks for Preparation of CPC Certification exam
Basics about CPC Certification To learn basic medical coding the professional should have well verse knowledge about anatomy and physiology of human body. Having perfect knowledge of human anatomy and physiology will help you in taking first step towards CPC certification. The CPT and ICD codebooks are the main players of CPC Certification exam. These codebooks always talk about codes which decodes into anatomy site of any human body which can be understood only when you have good anatomical knowledge of human body. Also, the CPT code book is arranged…
Read More2022 New COVID-19 ICD-10-CM and PCS Codes
The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have both stated that in April 2022, we will have three new ICD-10-CM codes and seven new procedure codes for COVID-19 therapeutics and vaccines in the codebooks for medical coders. Because of the COVID-19 Pandemic their has been lot of new updates in ICD 10 and CPT codebook in 2021. Now, in 2022 again we may see some of the new codes related to covid-19 disease. You may recall that in the Inpatient…
Read MoreWhat are Comorbid and Complications in Inpatient Coding
We have learned a lot about outpatient coding, diagosis coding guidelines and CPT codes. But, today we will try to learn about inpatient coding guidelines. Here also, we have a lot of terms like POA indicators, Comorbid condition and complications which need to be learnt before coding inpatient charts. I have shared lot of information on Knee surgery, hip arthroplasty, suture removal, wound debridement, spinal epidural injection, AV fistula, angioplasty and stent placement etc. where we are using CPT codes. But, in inpatient coding we have different codes for all…
Read MorePractice Medical Coding Question & Answers for Medical coders
1. What Z code is used to represent an encounter for a routine child health examination with abnormal findings? A. Z00.00 B. Z01.818 C. Z00.121 D. Z01.419 2. If the provider’s assessment indicates an overweight patient has been binge eating with vomiting, which code is most appropriate? A. F50.2 B. F50.81 C. F50.02 D. F50.82 Anorexia Nervosa is defined by an extremely low body weight coupled with an illogical fear of weight gain and an inaccurate perception of the body image. There are three types of anorexia nervosa: unspecified, restricting,…
Read MoreList of Revenue Codes for Medical coders
Basics for Revenue codes Their are specific revenues codes assigned to different section of medical facility or department, which have a specific set of procedure codes or CPT codes. These revenue codes are very helpful for medical billing. The medical coders and billing professional will we very much aware of the revenue codes. Below are the list of revenues codes. 0001 Total Charges 001X Reserved for internal payer use 002X Health Insurance Prospective Payment System (HIPPS) 0020-0021 Reserved 0022 – Skilled Nursing Facility (SNF) PPS 0023 – Home Health PPS…
Read MoreList of New CPT codes for 2022
New Surgery Codes for 2022 33894 – Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches 33895 – not across major side branches 33897 – Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta 42975 – Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleepdisordered breathing, flexible, diagnostic 43497 – Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM]) 53451 – Periurethral transperineal adjustable balloon continence device;…
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